Reduction of postoperative pain in knee ligament surgery: morphine versus femoral block
- Conditions
- Anterior cruciate ligament injury of the knee.C26.558.554.213
- Registration Number
- RBR-4897pw
- Lead Sponsor
- Hospital Universitário Cajuru
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Data analysis completed
- Sex
- Not specified
- Target Recruitment
- Not specified
Patients submitted to elective surgery using the technique of anatomical reconstruction of the ACL with flexor tendons (semitendinous and gracilis); age between 18 and 65 years; classified as ASA I or II; score of at least 15 on the Glasgow Coma Scale; with the capacity to correctly answer the questionnaire applied by the researcher; who signed the informed consent term.
Patients who did not meet the inclusion criteria;
presence of other painful complaints that could confound the postoperative evaluation; sensory or motor neurological deficit of the lower limbs; infection at the puncture site; previous coagulopathies and / or INR
less or equal 1.5; with another contraindication to the proposed technique; history of allergic reaction to some of the drugs used in the studies; patients with diabetes mellitus due to the increased probability of previous neuropathy due to the disease.
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Postoperative pain intensity was assessed at 6, 12 and 24 hours post-operatively using the numerical visual scale (NVA) between 0 and 10.;There was no statistically significant difference in the intensity of postoperative pain among the four groups analyzed.
- Secondary Outcome Measures
Name Time Method The need for postoperative rescue opioids, adverse reactions such as nausea and vomiting, pruritus and urinary retention, occurrence of falls and patient satisfaction with the proposed technique were evaluated.;<br>It was observed a greater occurrence of urinary retention in the subarachnoid morphine group and a greater occurrence of prolonged motor block of the quadriceps muscle in the group where the femoral nerve block with ropivacaine was performed at 0.37%, with no difference the other evaluated outcomes.